Hoben Matthias, Kent Angelle, Kobagi Nadia, Yoon Minn N
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Medicine and Dentistry, School of Dentistry, University of Alberta, Edmonton, Alberta, Canada.
BMJ Open. 2016 Mar 24;6(3):e011159. doi: 10.1136/bmjopen-2016-011159.
Oral healthcare in nursing homes is less than optimal, with severe consequences for residents' health and quality of life. To provide the best possible oral healthcare to nursing home residents, care providers need strategies that have been proven to be effective. Strategies can either encourage and motivate residents to perform oral healthcare themselves or can prevent or overcome responsive behaviours from residents when care providers assist with oral healthcare. This systematic review aims to identify studies that evaluate the effectiveness of such strategies and to synthesise their evidence.
We will conduct a comprehensive search in the databases MEDLINE, EMBASE, Evidence Based Reviews--Cochrane Central Register of Controlled Trials, CINAHL and Web of Science for quantitative intervention studies that assess the effectiveness of eligible strategies. 2 reviewers will independently screen titles, abstracts and retrieved full texts for eligibility. In addition, contents of key journals, publications of key authors and reference lists of all studies included will be searched by hand and screened by 2 reviewers. Discrepancies at any stage of the review process will be resolved by consensus. Data extraction will be performed by 1 research team member and checked by a second team member. 2 reviewers will independently assess methodological quality of studies included using 3 validated checklists appropriate for different research designs. We will present a narrative synthesis of study results.
We did not seek ethics approval for this study, as we will not collect primary data and data from studies included cannot be linked to individuals or organisations. We will publish findings of this review in a peer-reviewed paper and present them at an international peer-reviewed conference.
CRD42015026439.
养老院中的口腔保健状况不尽人意，给居民的健康和生活质量带来了严重后果。为了给养老院居民提供尽可能最佳的口腔保健，护理人员需要采用经证实有效的策略。这些策略既可以鼓励和激励居民自行进行口腔保健，也可以在护理人员协助进行口腔保健时预防或克服居民的抵触行为。本系统评价旨在识别评估此类策略有效性的研究并综合其证据。
我们将在MEDLINE、EMBASE、循证医学评论——Cochrane对照试验中心注册库、护理学与健康领域数据库（CINAHL）以及科学网数据库中进行全面检索，以查找评估合格策略有效性的定量干预研究。两名评审员将独立筛选标题、摘要及检索到的全文以确定其是否符合要求。此外，还将人工检索主要期刊的内容、主要作者的出版物以及所有纳入研究的参考文献列表，并由两名评审员进行筛选。评审过程中任何阶段出现的分歧将通过协商解决。数据提取将由一名研究团队成员进行，另一名团队成员进行核对。两名评审员将使用适用于不同研究设计的3份经过验证的核对清单，独立评估纳入研究的方法学质量。我们将对研究结果进行叙述性综合分析。
由于我们不会收集原始数据，且纳入研究的数据无法与个人或组织相关联，因此本研究未寻求伦理批准。我们将在同行评审期刊上发表本评价的结果，并在国际同行评审会议上进行展示。
CRD42015026439。
